The Skill of End-of-Life Communication for Clinicians by Kathleen Benton

Author:Kathleen Benton
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham

Neurosurgery—too risky to have biopsy for someone this age when there is little that can be done

Hospitalist 1—“Maybe you should get another neurosurgery opinion.”

Hospitalist 2—“I wouldn’t do this to my dad or granddad .… what do y’all expect?”

Different doctors gave the family varying opinions instead of all coming together and collaborating on a cohesive prognosis. Ethics spoke again with the POA and felt that hospice was the best choice based on Sara’s wishes as relayed by POA. Because of multiple medical opinions, POA wanted to be guided by the neurosurgeon and focus on making choices for the best quality of life for his grandmother. After the family backed down on the biopsy decision, the MD suggested that Sara be discharged home with medication. Hospice agreed to meet with the family in their home and make decisions on how to best care for Sara at home. The MD informed the family that the patient could always return to the hospital if they want to have the biopsy performed. In the meantime, Sara could be comfortable at home.

Much of the time, goals can be easily set once ego takes a backseat to teamwork.When should a team meeting for differing opinions be an absolute and how can you facilitate this?

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